Full Arch Restoration through Orthognathic Surgery after Implantation on the Patients with Mandibular Prognathism and Loss of Posterior Teeth: A Case Report.
10.5856/JKDS.2017.10.1.35
- Author:
Kyoung Sub HWANG
1
;
Jin Ju LEE
;
Young Chan JEON
;
Sang Hun SHIN
;
Jae Min SONG
;
So Hyoun LEE
;
Jung Bo HUH
Author Information
1. Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, BK21 PLUS Project, School of Dentistry, Pusan National University, Yangsan, Korea. neoplasia96@hanmail.net
- Publication Type:Case Report
- Keywords:
Angle class III;
Dental implants;
Malocclusion;
Orthognathic surgery
- MeSH:
Dental Caries;
Dental Implants;
Esthetics;
Humans;
Malocclusion;
Malocclusion, Angle Class III;
Orthognathic Surgery*;
Periodontal Diseases;
Prognathism*;
Prostheses and Implants;
Tooth*
- From:Journal of Korean Dental Science
2017;10(1):35-44
- CountryRepublic of Korea
- Language:English
-
Abstract:
In case of loss of many teeth due to dental caries or periodontal disease, improvement of masticatory function and aesthetics can be obtained through implant treatment. However, if the patient does not have a normal intercondylar relationship, it is difficult to achieve an ideal occlusal relationship with only prosthetic treatment. In particular, oral reconstruction with orthodontic treatment or orthognathic surgery is necessary for patients with mandibular prognathism. However, if the posterior occlusion collapses due to severe caries or periodontal disease, orthognathic surgery may be difficult. The occlusal vertical stop is very important for the stability of the mandibular position during occlusal reconstruction through orthognathic surgery. The patient in this case had posterior occlusion collapsed due to the caries of a large number of posterior teeth, and showed mandibular prognathism and long face. We planned a full arch restoration with orthognathic surgery and extracted the hopeless teeth. To secure the vertical stop required for orthognathic surgery, the implant was placed before surgery. After the orthognathic surgery and the final prosthesis application, the results were satisfactory for the improvement of the aesthetics and the restoration of the masticatory function.
